The posterior approach for removal of all thoracic disc herniations: a single-surgeon experience using the partial transpedicular approach with ultrasonic bone aspiration and ultrasound guidance in 108 consecutive patients.
This large single-surgeon series demonstrated that the posterior partial transpedicular approach augmented with IOUS and UA is a safe, effective, and widely applicable technique for TDH, including large and calcified lesions. The method provides significant neurological improvement with an acceptable complication profile and can be readily adopted by general spine surgeons.
Authors
- Stephen P. Kalhorn (ORCID: https://orcid.org/0000-0003-1690-3610)
- Brian F. Saway (ORCID: https://orcid.org/0000-0002-7101-0981)
- Noah L. Nawabi (ORCID: https://orcid.org/0000-0002-2454-6636)
- Aimee Weber (ORCID: https://orcid.org/0000-0003-3410-8098)
- Habib Emil Rafka (ORCID: https://orcid.org/0000-0002-4439-9610)
- Rahim Abo Kasem (ORCID: https://orcid.org/0000-0002-9635-7471)
- Julio Isidor (ORCID: https://orcid.org/0000-0002-3138-3484)
- Rishishankar Suresh (ORCID: https://orcid.org/0009-0005-8220-7949)
- Parker S. Dhillon
- Thomas Eckert
- Conor Cunningham
- Mahdi Sowlat
- Matheus P Pereira
Publication Details
- Journal
- PubMed
- Published
- 2026-03-20
- DOI
- https://doi.org/10.3171/2025.11.spine25904
- Primary Topic
- Spine and Intervertebral Disc Pathology
- Type
- article
- Field-Weighted Citation Impact
- 0.00